Organization
ASCENSION MEDICAL GROUP - SOUTHEAST WISCONSIN, INC.
Active
Parent organization
ASCENSION MEDICAL GROUP - SOUTHEAST WISCONSIN, INC.
Other names
Ascension Wisconsin Employer Solutions
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION MEDICAL GROUP - SOUTHEAST WISCONSIN, INC.
Authorized official
DONNA OWENS (VP-ASCENSION WI EMPLOYER SOLUTIONS)
(414) 465-3600
Entity
Organization
Contact information
Practice address
1001 15TH AVE # DOOR56, SOUTH MILWAUKEE, WI 53172-1503
(414) 766-5878
Mailing address
1186 APPLETON RD, MENASHA, WI 54952-1906
(715) 295-5280
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
12/13/2021
Last updated
01/10/2025
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